Conducta aplicada en las desviaciones de la curva de dilatación en parturientas atendidas en el Hospital Materno Infantil Mariana de Jesús durante el período de junio 2017 a enero 2018
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
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Este estudio se ha realizado con la finalidad de conocer la conducta aplicada frente a la desviación de la curva de dilatación durante el trabajo de parto, lo cual se relaciona con partos distocicos que constituyen en la actualidad un verdadero problema que incide de manera directa en la morbimortalidad tanto materna como fetal, produciendo en la madre complicaciones como hemorragias postparto con mayor frecuencia, en el neonato se lo ha vinculado con gran porcentaje de los casos de asfixia; además hay que tomar en cuenta que también esta patología se lo ha relacionado con el gran número de cesáreas que se practican hoy en día. Objetivo: Determinar la conducta aplicada en las desviaciones de la curva de dilatación en parturientas atendidas en el Hospital Materno Infantil Mariana de Jesús. Metodología: Se realizó un estudio de tipo descriptivo, transversal donde se revisaron y analizaron las fichas clínicas de 100 pacientes donde se analizaron multiples variables como edad, factores de riesgo, tipo de distocia; Resultados; Entre las conductas correctivas realizadas la que se efectuó con mayor frecuencia fue la ruptura artificial de membranas. El factor de riesgo que se presentó con mayor frecuencia para que se produzca un trabajo de parto anómalo de edades extremas. El tipo de distocia que se presentó con reiteración fue la relacionada con la dinámica uterina y finalmente en esta casa de salud la mayoría de las pacientes con alguna forma de parto distócico tienen completa la realización el partograma.
This study has been carried out in order to know the behavior applied to the deviation of the curve of dilation during labor, which is related to dystocia births that are currently a real problem that directly affects the maternal and fetal morbimortality, producing in the mother complications such as postpartum haemorrhage with greater frequency, in the neonate it has been linked with a great percentage of cases of asphyxia; In addition, it must be taken into account that this pathology has also been related to the large number of cesarean sections that are practiced today. Objective: To determine the behavior applied in the deviations of the dilatation curve in parturients attended in the Mariana de Jesús Maternal and Child Hospital. Methodology: A descriptive, cross-sectional study was carried out where the clinical records of 100 patients were reviewed and analyzed, where multiple variables such as age, risk factors, type of dystocia were analyzed; Results; Among the corrective behaviors that were carried out, the one that was most frequently made was the artificial rupture of membranes. The risk factor that occurred most frequently to produce an abnormal labor of extreme ages. The type of dystocia that was presented with reiteration was related to uterine dynamics and finally in this house of health most of the patients with some form of dystocic birth complete the partograph.
This study has been carried out in order to know the behavior applied to the deviation of the curve of dilation during labor, which is related to dystocia births that are currently a real problem that directly affects the maternal and fetal morbimortality, producing in the mother complications such as postpartum haemorrhage with greater frequency, in the neonate it has been linked with a great percentage of cases of asphyxia; In addition, it must be taken into account that this pathology has also been related to the large number of cesarean sections that are practiced today. Objective: To determine the behavior applied in the deviations of the dilatation curve in parturients attended in the Mariana de Jesús Maternal and Child Hospital. Methodology: A descriptive, cross-sectional study was carried out where the clinical records of 100 patients were reviewed and analyzed, where multiple variables such as age, risk factors, type of dystocia were analyzed; Results; Among the corrective behaviors that were carried out, the one that was most frequently made was the artificial rupture of membranes. The risk factor that occurred most frequently to produce an abnormal labor of extreme ages. The type of dystocia that was presented with reiteration was related to uterine dynamics and finally in this house of health most of the patients with some form of dystocic birth complete the partograph.
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Trabajo de parto, Hemorragias posparto, Factores de riesgo, Distocia, Hospital Especializado Mariana de Jesús, Cantón Guayaquil, Ecuador, Conducta materna, Desviación de la curva de dilatación, Partograma